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Individual
CAY MICHAEL MIERISCH
Active
Individual
CAY MICHAEL MIERISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101-237955
VA
207X00000X
Orthopaedic Surgery Physician
Primary
MD205645
OR
207XS0106X
Orthopaedic Hand Surgery Physician
0101237955
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083688931
INTOTAL
VA
05
—
1083688931
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
3810010052
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332004
TRICARE/CHAMPUS
VA
01
—
P00239901
RAILROAD MEDICARE
VA
Enumeration date
02/16/2006
Last updated
08/13/2021
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